Dr. Amrish Krishnan, a nephrologist from Fiji, is enhancing his expertise at Cairns Hospital as part of an advanced training program. His mentorship comes from Dr. Murty Mantha, an experienced interventional nephrologist and director of renal services at the hospital.
Throughout his career, Dr. Krishnan has experienced the heartbreaking loss of many patients in Fiji, both young and elderly, who faced limited options for vascular access necessary for ongoing dialysis treatment. Conditions such as stenosis, blood clots, and other complications often led to these dire situations. Vascular access is critical in hemodialysis, allowing blood to be removed, filtered, and returned to the body.
Previously, the lack of specialists in the Pacific region to address these complications left both healthcare providers and families feeling powerless. Dr. Krishnan expressed the emotional toll of these losses, stating, “It is a painful way to lose a patient.” However, he remains hopeful, emphasizing that the skills he acquires during this training will significantly enhance renal care in Fiji. He aims to share this knowledge with colleagues to improve treatment outcomes for patients facing similar challenges.
Dr. Krishnan also highlighted the urgent need for better care, noting that over 800 individuals in Fiji are diagnosed annually with end-stage kidney disease, with about 40 percent succumbing within six months of diagnosis. His gratitude towards Australia reflects a commitment to improving the health services in his home country, paving the way for a brighter future for patients suffering from kidney-related illnesses.
In summary, Dr. Krishnan’s training in Australia is more than just a personal achievement; it’s a vital step towards strengthening healthcare systems in Fiji, potentially saving lives and providing hope to many families.

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